FDA Adverse Event Other Summary report: N

QUILL SRS

MDR report key: 1246386 · Received November 26, 2008

Report

Report Number
2522801-2008-00042
Event Type
Other
Date Received
November 26, 2008
Date of Event
October 1, 2008
Report Date
November 26, 2008
Manufacturer
SURGICAL SPECIALTIES CORP. (DBA ANGIOTECH)
Product Code
GAB
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DATE OF THE EVENT IS ESTIMATED. A MODEL NUMBER AND LOT NUMBER WERE NOT PROVIDED. A DEVICE WAS NOT RETURNED FOR EVALUATION. FURTHERMORE, THE MODEL NUMBER(S) / LOT NUMBER(S) ARE UNKNOWN. RESULTS: A DEVICE WAS NOT RETURNED FOR EVALUATION. NO PRODUCT EVALUATION CAN BE PERFORMED.

Description of Event or Problem · 1

MULTIPLE PATIENTS UNDERWENT TOTAL KNEE PROCEDURES USING QUILL SRS FOR CLOSURE OF SUPERFICIAL LAYER. IT WAS REPORTED THAT THE HEALING PROCESS WAS DELAYED, AND SEVERE SKIN NECROSIS OCCURRED, WHICH REQUIRED MULTIPLE SURGICAL DEBRIDEMENTS. NUMEROUS ATTEMPTS TO OBTAIN CASE SPECIFIC INFORMATION REGARDING THE EVENTS WERE UNSUCCESSFUL. THE NUMBER OF EVENTS, PATIENT INFORMATION, PRODUCT INFORMATION (EXCEPT MATERIAL TYPE), ETC. ARE ALL UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 QUILL SRS BARBED SUTURE WITH NEEDLE GAB SURGICAL SPECIALTIES CORP. (DBA ANGIOTECH) UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention NONE MADE AVAILABLE